摘要
Background: Radial artery spasm (RAS) is a common complication of trans radial approach (TRA) to percutaneous coronary angiography (CAG) and coronary intervent ion. Lower friction resistance between catheter and RA wall may reduce RAS upon insertion, manipulation, and withdrawal of the catheter. The aim of this study w as to investigate whether the use of a hydrophilic-coated (HC) catheter, which has lower friction coefficient, could reduce the incidence of RAS compared with a non-hydrophilic-coated (NHC) catheter. Methods: A total 250 patients attempt ed diagnostic CAG using 5-French catheters via the TRA between September 2000 a nd April 2002. Two hundred thirty-four (93.6%) patients who achieved successfu l coronary cannulation were selected for the study. NHC catheters were used in 1 49 patients (63.7%), and HC catheters were used in 85 patients (36.3%). We com pared the incidence of RAS between NHC and HC catheters. Results: RAS occurred i n 17 (7%) patients totally. RAS was less likely to occur in HC group (one patie nt, 1%) than in the NHC group (16 patients, 11%, P=0.007). Conclusions: We con clude that the use of HC catheters can reduce RAS upon insertion, manipulation, and withdrawal of the catheter compared with NHC catheters.
Background: Radial artery spasm (RAS) is a common complication of trans radial approach (TRA) to percutaneous coronary angiography (CAG) and coronary intervent ion. Lower friction resistance between catheter and RA wall may reduce RAS upon insertion, manipulation, and withdrawal of the catheter. The aim of this study w as to investigate whether the use of a hydrophilic-coated (HC) catheter, which has lower friction coefficient, could reduce the incidence of RAS compared with a non-hydrophilic-coated (NHC) catheter. Methods: A total 250 patients attempt ed diagnostic CAG using 5-French catheters via the TRA between September 2000 a nd April 2002. Two hundred thirty-four (93.6%) patients who achieved successfu l coronary cannulation were selected for the study. NHC catheters were used in 1 49 patients (63.7%), and HC catheters were used in 85 patients (36.3%). We com pared the incidence of RAS between NHC and HC catheters. Results: RAS occurred i n 17 (7%) patients totally. RAS was less likely to occur in HC group (one patie nt, 1%) than in the NHC group (16 patients, 11%, P=0.007). Conclusions: We con clude that the use of HC catheters can reduce RAS upon insertion, manipulation, and withdrawal of the catheter compared with NHC catheters.
